Individual provider Active NPI

Cody S. Lewis

  • Social Worker
  • Urbana, IL
National Provider Identifier
1780138834
Registry record updated Aug 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150.101685 Issued in IL
Practice address
602 S Busey Ave
#1
Urbana, IL 61801-4092
Phone
(314) 605-8942
NPI assigned
Aug 6, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150.101685 IL Primary

Addresses

Primary practice location

602 S Busey Ave
#1
Urbana, IL 61801-4092

Mailing address

602 S Busey Ave
#1
Urbana, IL 61801-4092
Phone (314) 605-8942

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
150.101685ILMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cody S Lewis Counseling LTD CurrentSince Jan 31, 2021 Accepting new patients

Locations

100 N Chestnut St
Ste 244
Champaign, IL 61820
Phone (217) 402-4877

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470441600000",
    "number": "1780138834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 S BUSEY AVE",
            "address_2": "#1",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618014092",
            "telephone_number": "314-605-8942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 S BUSEY AVE",
            "address_2": "#1",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618014092",
            "telephone_number": "314-605-8942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "CODY",
        "middle_name": "S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-06",
        "last_updated": "2016-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.101685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbana, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.